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NU472 HESI Obstetrics/Maternity Practice Exam - 103 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A laboring patient reports intense back pain during contractions. What intervention provides the most relief?
- Encourage side-lying position
- Apply warm compresses to the abdomen
- Offer increased oral fluids
✔✔C. Apply counterpressure to the sacral area
A postpartum client asks why her uterus feels firm and painful when she breastfeeds. What is the best explanation?
- It is an infection developing
- It is a normal response to dehydration
- It means the milk supply is low
✔✔C. Breastfeeding stimulates oxytocin, causing uterine contractions
A nurse notes lochia rubra persisting 10 days postpartum. What is the priority action? 1 / 4
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- Reassure the client it is normal
- Document findings only
- Increase the client’s oral fluids
✔✔B. Notify the healthcare provider of possible subinvolution
A patient with preeclampsia reports severe headache and blurred vision. What should the nurse do first?
- Offer acetaminophen
- Turn on bright lights for assessment
- Encourage ambulation
✔✔C. Assess blood pressure and notify provider immediately
During the first stage of labor, a client requests nonpharmacological pain relief. Which intervention is most appropriate?
- Apply restraints to limit movement
- Restrict all movement for rest
- Provide nothing until active pushing begins 2 / 4
✔✔B. Encourage breathing techniques and position changes
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A client with placenta previa at 34 weeks reports painless vaginal bleeding. What should the nurse do first?✔✔A. Place the client on bed rest and monitor bleeding
- Perform a vaginal exam to assess dilation
- Administer oxytocin immediately
- Prepare for immediate cesarean without assessment
A postpartum mother with mastitis asks how she should feed her infant. What is the correct response?
- Stop breastfeeding until healed
- Use only formula until symptoms resolve
- Pump only the unaffected breast
✔✔B. Continue breastfeeding on both breasts as tolerated
A nurse assesses a newborn with nasal flaring and intercostal retractions. What is the priority?
- Place infant in prone position
✔✔B. Notify the provider and provide oxygen as ordered 3 / 4
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- Continue routine monitoring
- Feed the infant formula
A pregnant client at 30 weeks reports dizziness and lightheadedness when lying flat. What should the nurse recommend?
- Stay flat to rest longer
- Increase water intake immediately
- Walk frequently during rest
✔✔B. Turn onto her left side to relieve vena cava pressure
A client in active labor expresses fear and anxiety. What is the best nursing response?
- Ignore the client’s emotions
- Encourage her to remain silent
- Request immediate cesarean section
✔✔B. Provide reassurance and guide her through relaxation techniques
A nurse notices a firm uterus but heavy vaginal bleeding in a postpartum patient. What condition is suspected?
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